Hug François, Faucher Marion, Kipson Nathalie, Jammes Yves
Laboratoire de Physiopathologie Respiratoire (UPRES EA 2201), Institut Jean Roche, Faculté de Médecine, Université de la Méditerranée, Hôpital Nord, Assistance Publique--Hôpitaux de Marseille, Marseille, France.
Clin Physiol Funct Imaging. 2003 Jul;23(4):208-14. doi: 10.1046/j.1475-097x.2003.00497.x.
We questioned whether electromyographic (EMG) signs of neuromuscular fatigue accompany the changes in respiratory variables measured at the ventilatory threshold (VTh) during exercise on a cycloergometer. This was based on the assumption that the activation of muscle afferents sensitive to accumulation of lactate and potassium is suspected to elicit both the EMG signs of fatigue and hyperventilation. In 39 subjects performing an incremental cycling, the EMG estimates of neuromuscular fatigue in vastus lateralis were a non-linear increase in root mean square (RMS), a decrease in median frequency (MF), a non-linear increase in low-frequency EMG energies (EL), and/or a decrease in high-frequency energies (EH). VTh was determined from a non-linear increase in VCO2 [VTh(VCO2 slope)] and an increased value of the respiratory equivalent for oxygen [VTh(VE/VO2)]. We measured a significant increase in venous blood concentration of lactate and potassium, and a significant pHv fall at VTh. One EMG estimate of fatigue was detected in 33/39 individuals and two EMG estimates in 17 subjects. Highly significant positive correlations were found between the oxygen uptakes corresponding to each EMG estimate and to each detection criterion of VTh. These observations suggest that the activation of muscle sensory pathways contribute to the mechanism of VTh.
我们质疑在蹬车测力计运动期间,在通气阈值(VTh)时所测量的呼吸变量变化是否伴随着神经肌肉疲劳的肌电图(EMG)迹象。这是基于这样一种假设,即对乳酸和钾积累敏感的肌肉传入神经的激活被怀疑会引发疲劳的EMG迹象和过度通气。在39名进行递增式骑行的受试者中,股外侧肌神经肌肉疲劳的EMG评估指标包括均方根(RMS)的非线性增加、中位频率(MF)的降低、低频EMG能量(EL)的非线性增加和/或高频能量(EH)的降低。VTh由VCO2的非线性增加[VTh(VCO2斜率)]和氧呼吸当量的增加值[VTh(VE/VO2)]确定。我们测量到在VTh时静脉血中乳酸和钾的浓度显著增加,以及pHv显著下降。在39名个体中有33名检测到一种EMG疲劳评估指标,17名受试者检测到两种EMG疲劳评估指标。在对应于每种EMG评估指标和VTh的每种检测标准的摄氧量之间发现了高度显著的正相关。这些观察结果表明,肌肉感觉通路的激活有助于VTh的机制。